Journal of Japanese Society of Oral Implantology
Online ISSN : 2187-9117
Print ISSN : 0914-6695
ISSN-L : 0914-6695
Application of N2O Inhalation with Intravenous Sedation in an Implant Case
Kazumitsu Nagai
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1993 Volume 6 Issue 2 Pages 243-249

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Abstract

Implant surgery is accompanied by pain, fear and discomfort which put patients under stress both physically and mentally. The psychosedation such as N2O inhalation and intravenous sedation have been applied to solve this kind of problem.
However, as for N2O inhalation, the effect of sedation varies slightly from case to case and the duration of sedation is so short that nasal mask must be continuously used. On the other hand, intravenous tranquilizer, such as Diazepam, may harm the blood vessels and has a rebound side effect. And Flunitrazepam, which has a long action period, does not suit the implant surgery of which operation time is relatively short.
The author has applied the intravenous sedation with Midazolam which has a reliable sedation effect, less harm to blood vessels and surrounding tissues, and short action period.
The author succeeded in solving the problem by applying easily adjustable N2O inhalation with intravenous sedation with Midazolam to adjust the timing of intravenous sedation in order to match the peak of action period with implant surgery.

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© 1993 Japanese Society of Oral Implantology
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